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Home My WebLink AboutBLD2005-00283 • llll.11lIlIIIl.11ll BUILDING PERMIT f Jefferson County 621 Sherida Department of Community eet, Port Townse Development PERMIT# (360)379-44.50 FAX (360)379-445198368 SITE ADDRESS: BLD05-00283 Received Date 05/3/2005 284 CORMORANT VIEW DR BRINNON, 98320 APPLICANT: Issue Date IAN P MC FALL 05/31/2005 GLENYS A MC FALL 201 RIVERVIEW TERRACE PHONE: SUBDIVISION: BENICIA CA 94510 360-796_0551 PARCEL NUMBER: THACKER SHORT PLAT 502153051 CONTRACTOR: Section: 15 Township: 25 Block: OWNER/BUILDER N Range: 02 VI/t: 1+ PHONE: PROJECT DESCRIPTION: ADDITION OF UNHTD CALL IN FOR THE REQUIRED INSPECTIONS TRADE TO SFR _ SETBACKS: HAT APPLY TO YOUR PROJECT. T Footing: Foundation: , ' ,,,�y , Stormwater FINAL / .� Appr Underground Plumbing:oval: Underground Insulation: Shear Wall : Sheathing: Framing: A' a .y Plumbing: Propane Tank/Lines: Insulation: Sheetrock: r....4 I mi Septic Sytem Fina AID., ova F• ' Road Approach Final pro pro d' not on :ewer): Zoning Final Approval: val: Final/Occupancy q HEALTH DEPARTMENT Approval: /O_ ARTMENT AND PUBLIC � THIS PER WORKS APPROVAL RE BUILDING INSPECTION HOT-LINE IS VALID FOR ONE YEAR OR IT REQUIRED PRIOR TO FINAL INSPECTION Office Hours g; HOURS IN ADVANCE RENEWED HOT LINE 00 a.m. -4:30 TO SCHEDULE INSPECTIONS. AVAILABLE 24 HOURS m SPECIAL CONDITIONS APPLY A DAY -SEE REVERSE tUILDING PERMIT APPLICA11iON MLA05-00269 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD05-00283 Received Date: 5/3/2005 SITE ADDRESS: 284 CORMORANT VIEW DR BRINNON, 98320 OWNER: IAN P MC FALL PHONE: 360-796-0551 GLENYS A MC FALL 201 RIVERVIEW TERRACE BENICIA CA 94510 THACKER SHORT PLAT SUBDIVISION: Block: Lot: 1 PARCEL NUMBER: 502153051 Section: 15 Township: 25 N Range: 02 W CONTRACTOR: OWNER/BUILDER PHONE REPRESENTATIVE: PHONE PROJECT DESCRIPTIOl ADDITION OF GARAGE TO SFR - UNHTD TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP ADD VALUATION. 12,000.00 MAIN: 1,360 CODE EDITION: 2003 ADD'L: HEAT TYPE: UH OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY:' UNHEATED: # OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 420 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: 2 Exist: 3 Prop: • Prop: Total: 2 Total: 3 Routing Da . — — U� Type Amount Paid By: Date: Receipt: Approved/Date Permit $209.25 BAC 05/03/05 72973 APPROVED Plan Check $136.01 BAC 05/03/05 72973 State Building Code $4.50 BAC 05/03/05 72973 MAY 3 1 2005 Total: $349.76 4fferson County Planning & Partment ti/, INN ,. JEFFERRN COUNTY • DEPARTMENT OF COMMUNITY DEVELOPMENT •rr t �y t t':621 Sheridan Street• Port Townsend•Washington 9 68,C _ 't Ii �qs,ibor 0' 360/379-4450. 360/379-4451 Fax www.cojefferson.wa.us/commdevelopment +ti FI .__ iH� ING' li MAY - 3 2005 Master Permit Application MLA: Project Description(include separate sheets as necessary: �-t.rr ;i • A'Qt- " C.-Pta-- c Aig ( DEFT. Of COR ,v, ii I t LVELOt'MLivi. Tax Parcel Property, Number: 50 2 - ) S3 -- a nl Size: 2*l..A C.(ZE S (acres/square feet) Site Address and/or Directions to Property: 2 8-- it Cora....a Kips-N + V Iv7.vJ (2-: ?2 I i/p/0 N t, Property Owner(s)of Record: 2'fttJ A A I..ENI s t"c ficv,,,„_ Telephone: b "-714 —D 5C1 Fax: email: 1 M c et)1,gke•c (, 4[. rk4- Mailing Address: eo a O' S$o`7 ` ej et N mob.) N w tt 'g ,.v3� Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) tJ Building U Variance(Minor,Major or Reasonable Economic Use) u Demolition Permit Ll Conditional Use[C(a),C(d),or C]** `f Single Family LI Discretionary"D"or Unnamed Use r:la-csification u Garage Attached/Detached LI Special Use(Essential Public Facilities)** U Manufactured Home Ll Boundary Line Adjustment U Modular Ll Short Plat** L Commercialange U Ll Binding Site Plan** Li Long Plat U Address I Road Approach LI Planned Rural Residential Development(PRRD)/Amendments** U Propane U Plat Vacation/Alteration** U Allowed"Yes'Use Consistency Analysis lJ Shoreline Master Program Exemption/Permit Revisions** u Stormwater Management U Shoreline Management Substantial Development*" I 1 Site Plan Approval Advance Determination(SPAAD)* U Shoreline Management Variance u Temporary Use * U Comprehensive PIarVUDC/Land Use District Map Amendment L1 Wireless Telecommunication U Jefferson County Shoreline Master Program Amendment t 1 Forest Practices Act/Release of Six-Year Moratorium *May require a Pre-Application Conference **Requires a Pre-Application Conference Please identify any other local,state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: J i`i i it By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result In this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to ovide access and right of entry to Jefferson County and its employees,representatives or agents for the sole purpose of application review and any • ir-. -:r inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: id. t L�� Date: 4/1,( l' ts-p The action or a . s Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered spe..es and could lead to a potential`take'of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or'ESA.'Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)eventyou a • compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-trans :ble : ... ibility for adhering to and complying with the ESA. The Applicant has read this di imer a signs and dates it below. Signature: ato.l<v Date: -2.-1 ?•-rj1. C • ' C:\Document• . to \D \M ngs\mochilesktopaster Permit Application 7-8-04.doc • • OWNER BUILDER STATEMENT The signer of this s ment does hereby certify that they are the Owners of the parcel referenced herein that herre #niipits sit( they will be assumi h r 'bility of the General Contractor for the proposed project. i'r 1 � . Signature: Date: —!'L."1 1 s.,,O!t) lirm - 3 200S - GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: � .-:.,, Ax: MAILING ADDRESS: _ ( ) < � '[iflYl � EMAIL: `t i r ri,:t f CONTRACTORS LICENSE WAINS GEf�.8F CB.::':`'l tYq (y,'tVELOitni NUMBER: L""`— NUMBER ARCHITECT/ENGINEER: PHONE ( ) F*x:( ) MAILING ADDRESS: EMAIL Project Type: Frame Type: Bathrooms: t L fi Shoreline: LI Type of Sewage Disposal: CI New '�C Wood Existing: Sewer ❑ Addition ❑ Steel Proposed: _ Bank ❑ Community System X/Alteration/Remodel ❑ Concrete Total: _ +� }/� Height: ❑ Individual System Repair ❑ Masonry SEP Permit# 92....- bf 4 z ❑ Demolition ❑ Other. Bedrooms: Water Supply: Existing: 2 Setback: ❑ Private well jk Two Party Type of Heat: Proposed: b Li Public Total: — Name of System: If this is a Commercial Protect you must answer the following: Number of Parking Spaces: Current: Proposed:- Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: I Underground Tank I Above ground Tank Size of Propane Tank: I Heat Stove I Cook Stove I Woodstove I Fireplace Insert I Hot Water Tank I Pellet Stove I Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines,tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage For Office Use Only Current Proposed _ Amount Main Floor f Consistency Review: -49 2""Floor Base fee: 3'a Floor Additional Section: Jog Mezzanine: Plan Check fee: I 3 of Heated Basement 1 e' State Surcharge fee: 5D Unheated Basement Pot Water Review fee: Other Unheated / 911/Rd Approach fee: Garage/Carport / 417 I gi o J 1 .� q', !f TOTAL: $ Decks Receipt Number: ri^ q(7 3 Other Cash/Check Number. O( 1 ,,11 ESTIMATED COST(REQUIRED) Date: l l s n' .Fair market value of all labor and mate ' s foundation to finis 613/DS 12,6-3"o Initials: Y C:\Documents and Settings\mochil\Des \Master Permit A ' ion 7-8-04.doc . .. ` • • PERMIT # RLD Floor Plan JEFFERSON COUNTY DCD ,—, �,,-,... . ■� — = — = ii??T rnfir-o 1 7 a Erving .......,_ ix„cl... t 1 (I.- tl:x+ (-30 Cprt O Nalr 7 '4'4-iii,fri-'' /' ' . ( rc,Ra 0./ALL. r-1 . I '-' 71—'1— I • GLOB .,- --, are2;pPG'"x" ,t.Hef1Tti11`6i OR wfte,,tA 4-; ALL, $ CELL MG- -✓s' I,. H I }E. { I .7' X. LE E A RAGHED GoRKeR 0 '. •• POriottL L i' -Av =sue-. Project tlawe TAx Parcel She Aililiess [hawing Tide thiiie. A+Lihess.TeI= of 411.iwinq piepaler +a.li ai a 244 Cot mot ant 5014 5 3-0 51 View P.oad. Floe'Plan Ian McFall.Po Box 507.Btinnon.WA 38320 A414111liil► Blirtnon.WA 38320 Tel 30.730.0551 SPECIAL CONDITIONS FOR CA BLD05-00283 • 1.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 2.) Landslide Hazard Areas and their associated buffers shall remain naturally vegetated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 3.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 4.) All construction activities shall not encroach upon the buffer. This includes the storage or preparation of materials. 5.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 6.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 7.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restriotors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 8.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 9.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 10.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 11.) The project shall comply with C truction Stormwater Pollution Preve Elements#1 through #12 of the DepartmentntlonWPP) of Ecology's Stormwater Management Manual for Western Washington to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 12.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 13.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Unified Development Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage) yard and allowed as a Permitted Use in Table 3-1 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 15.) The building height is not to exceed 35 feet. 16.) Setback from Cormorant View Dr. right-of-way is no less than 20 ft., setback from Daphne Lane right-of-way is no less than 20 ft. side and rear setbacks are no less than 5 ft. If an environmentally sensitive area (ESA) is present, then the more restrictive setback shall apply. 17.) A minimum of two (2) on-site parking spaces is required for the single-family residence. • • I:\F_BLD_Perm it_Bu ildng.rpt 10/29/19 -F ff LbT I - Lo T S' f fAk 14 t4 Ott", 4 10, APPROVED SITE PLAN JEFFERSON COWNTY DEPT. OF QWMVI>4TY PkYFLOP +0� j art" T,IC. J. % 4:� MAY 2W5 �ltc \4 -T, sc A wE Ilk it 4 wo-s- �4c 4f '4 P*J4 05 ;44 Coe-v-f,� eo*rf *fit AVW I Pig"�AA - WA CIS2112-0 A' 7:VP14 VA 114 w.' A4 TZO Ui0000, -e4 A